ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client in the late stage of inhalation anthrax requires a plan of care. What is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Step 1: Inhalation anthrax causes severe respiratory distress. Step 2: Providing respiratory support helps maintain oxygenation. Step 3: Oxygen therapy or mechanical ventilation may be needed. Step 4: This choice directly addresses the critical needs of the client. Summary: - B: Droplet isolation is not needed as anthrax is not transmitted person-to-person. - C: Antihypertensive medications are irrelevant to inhalation anthrax treatment. - D: Ascites monitoring is not a priority in late-stage inhalation anthrax.
Question 2 of 5
When teaching a group of clients about emergency care for a snake bite, which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Immobilize the affected extremity with a splint. This is important to prevent the spread of venom through the lymphatic system. Elevating the extremity (A) can increase the spread of venom. Applying ice (C) can constrict blood vessels, trapping venom in the area. Applying a tourniquet (D) can lead to tissue damage and worsen the condition. Immobilizing with a splint is the most effective way to limit movement and venom spread.
Question 3 of 5
A client had a total hip arthroplasty. Which of the following prescriptions should the nurse verify with the provider?
Correct Answer: C
Rationale: The correct answer is C because restricting flexion of the hip past 120° is crucial to prevent dislocation of the prosthetic hip joint post-operatively. Excessive flexion can lead to instability and potential complications. The other options are important but do not directly relate to the risk of hip dislocation. Administering enoxaparin helps prevent blood clots, using a wedge or pillow between the legs promotes proper alignment and comfort, and performing foot and calf exercises aids in preventing blood clots as well. However, restricting hip flexion is the most critical for the client's safety and optimal recovery after a total hip arthroplasty.
Question 4 of 5
The physician has written orders for the client with Excess Fluid Volume. The client's morning assessment includes bounding peripheral pulses, weight gain of 2 pounds, pitting ankle edema, and moist crackles bilaterally. Which order takes priority at this time?
Correct Answer: D
Rationale: The correct answer is D: Administer furosemide (Lasix) 40 mg IV push. This is the priority because the client is showing signs of fluid volume excess, such as weight gain, pitting edema, and crackles, which indicate fluid overload in the lungs. Furosemide is a loop diuretic that helps to remove excess fluid from the body quickly, making it crucial in managing excess fluid volume in this situation. Weighing the client daily (A) is important but not as urgent as addressing the immediate symptoms of fluid overload. Maintaining accurate intake and output (B) is essential for overall fluid balance but does not address the immediate excess fluid volume. Fluid restriction (C) may be needed in the long term, but immediate intervention with furosemide is necessary to prevent worsening of symptoms and potential complications.
Question 5 of 5
You are preparing to discharge a client whose calcium level was low but is now just slightly within the normal range (9-10.5 mg/dL). Which statement by the client indicates the need for additional teaching?
Correct Answer: C
Rationale: The correct answer is C. Taking calcium supplements on an empty stomach can reduce their absorption. Calcium pills should be taken with food for optimal absorption. Options A, B, and D demonstrate good understanding of calcium management. Option A shows awareness of symptoms of hypocalcemia, B indicates proper supplementation, and D reflects knowledge of foods high in calcium that can interfere with supplement absorption.